How much rates vary
Facilitymedian $7 · 10th to 90th $7 to $7Professionalmedian $8 · 10th to 90th $7 to $15
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $10.00 | Professional | None | $7.24 | $7.24 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.63 Median $3.63 Typical High $5.01 | Professional | 52 · Reduced service | $3.63 | $3.63 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $2.00 | Professional | 53 · Discontinued | $1.45 | $1.45 | $2.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5.37 Median $5.37 Typical High $7.41 | Professional | 54 · Surgery only | $5.37 | $5.37 | $7.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.07 Median $1.07 Typical High $1.48 | Professional | 55 · Aftercare only | $1.07 | $1.07 | $1.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $0.72 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.72 | $0.72 | $1.00 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Molina Setting Professional Modifier None Typical Low $14.79 Median $30.20 Typical High $60.26 | Professional | None | $14.79 | $30.20 | $60.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Select Health Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Select Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $19.05 | Professional | None | $18.20 | $18.20 | $19.05 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $12.02 Median $15.14 Typical High $26.30 | Professional | None | $12.02 | $15.14 | $26.30 |
United Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $15.14 | Professional | None | $6.03 | $7.59 | $15.14 |
Where Utah sits
The same service costs 2.7 times more in Idaho than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Utah· 50th of 51
$7.59
ID $19.50NY $7.24
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.